Provider Demographics
NPI:1053618959
Name:HULSIZER ENTERPRISES INC
Entity type:Organization
Organization Name:HULSIZER ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HULSIZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-953-8753
Mailing Address - Street 1:558 E CASTLE PINES PKWY
Mailing Address - Street 2:UNIT B-4142
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-4608
Mailing Address - Country:US
Mailing Address - Phone:303-953-8753
Mailing Address - Fax:303-800-8278
Practice Address - Street 1:558 E CASTLE PINES PKWY
Practice Address - Street 2:UNIT B4142
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-4608
Practice Address - Country:US
Practice Address - Phone:303-953-8753
Practice Address - Fax:303-800-8278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-12
Last Update Date:2011-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04X107253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care